Long Island Walk for Apraxia

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Joining Team Edward's Walk to Talk

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Email Address *

Password *

Personal Details

First Name *

Last Name *

Email Address *

Password*

Shirt Size *

Mailing Address *

Mailing Address

Address Line 1 *

Address Line 2

City *

Zip Code *

State/Province *

Country *

Terms & Conditions

I hereby waive and release, for myself, my child, my heirs, executors and administrators, any and all rights, claims, liabilities and causes of action whatsoever I or my child may have against Apraxia Kids, its affiliates, and the Event operators and sponsors and each of their respective officers, directors, employees and agents (the "Event Parties") relating to or arising from my or my child's participation in the Event, including but not limited to personal injury.

I recognize the Event has inherent risk of injury and I hereby assume that risk, and on behalf of me and my child. If I or my child causes injury to any person or damage to any property while participating in the Event, I hereby indemnify and hold harmless the Event Parties from and against any and all claims, suits, actions, loses, damages and expenses related to or arising from such injury or damage.

I hereby give my consent to Apraxia Kids and its affiliates to use me and my child's name and photographs, video and film ("Photos") of me and/or my child taken before, during or after the Event in advertising and promotional materials for Apraxia Kids, including but not limited to the Internet, without compensation. I agree that no advertising or other material need be submitted to me or my child for approval. I agree that all Photos of me and/or my child used by Apraxia Kids and its affiliates are owned by Apraxia Kids and they may copyright material containing same. I hereby release, discharge, and agree to save harmless the Event Parties from any liability, including, without limitation, any claims for libel or invasion of publicity/privacy, by virtue of any use of my or my child's name and/or Photos, including, any alteration of such Photos, whether intentional or otherwise.

If registering as a Team Captain, I agree that Apraxia Kids can share my contact information with the local coordinator so that I may be notified of Walk updates. I hereby agree not to use the Apraxia Kids and/or Walk for Apraxia logo on any team swag!

I have read and understand this Release, and declare all information is truthful and accurate.

I agree to the above Terms & Conditions *

Additional Information

How did you hear about the Walk for Apraxia? *

What is your connection to apraxia? *

How would you describe yourself? *

Including 2026, how many Walks for Apraxia have you participated in? *

Please confirm the address above is your current mailing address for shipping prizes. Your mailing address can be updated in your account if needed. *

Yes
No

I would like to opt out of receiving all incentive prizes EXCEPT the official Walk for Apraxia t-shirt. *

Yes
No

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Joining Team Edward's Walk to Talk

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Personal Details

Mailing Address *

Mailing Address

Terms & Conditions

Additional Information

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